Compartir
array:23 [ "pii" => "S2253654X12000625" "issn" => "2253654X" "doi" => "10.1016/j.remn.2012.02.004" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "aid" => "20" "copyright" => "Elsevier España, S.L. and SEMNIM" "copyrightAnyo" => "2011" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2013;32:55-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1403 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 946 "PDF" => 449 ] ] "itemSiguiente" => array:18 [ "pii" => "S2253654X12001345" "issn" => "2253654X" "doi" => "10.1016/j.remn.2012.04.013" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "aid" => "52" "copyright" => "Elsevier España, S.L. and SEMNIM" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2013;32:57-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1261 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 1025 "PDF" => 227 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting image</span>" "titulo" => "Multimodality molecular imaging in the evaluation of pheochromocytoma. A case report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "57" "paginaFinal" => "59" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Imagen molecular multimodal en la evaluación de un feocromocitoma. A propósito de un caso" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1417 "Ancho" => 1500 "Tamanyo" => 167862 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Multimodality images. The suspicious liver metastases at the left lobe according to RM (A) had a high red-cell content. The possible angiomatous lesion at the right (B) was negative for it at merged <span class="elsevierStyleSup">99m</span>Tc-RBC/MR fusion images. Both lesions did not show any uptake of <span class="elsevierStyleSup">131</span>I MIBG.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "O. Rivas, A. Serena, A. Alvarez, D. Ruiz, J. Barandela, L. Campos" "autores" => array:6 [ 0 => array:2 [ "nombre" => "O." "apellidos" => "Rivas" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Serena" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Alvarez" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Ruiz" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Barandela" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Campos" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X12001345?idApp=UINPBA00004N" "url" => "/2253654X/0000003200000001/v1_201305061028/S2253654X12001345/v1_201305061028/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2253654X12000558" "issn" => "2253654X" "doi" => "10.1016/j.remn.2011.12.007" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "aid" => "13" "copyright" => "Elsevier España, S.L. and SEMNIM" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2013;32:52-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1745 "formatos" => array:3 [ "EPUB" => 12 "HTML" => 1390 "PDF" => 343 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen de interés</span>" "titulo" => "Utilidad de la SPECT-TAC en la identificación de fístulas en una peritoneogammagrafía" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "52" "paginaFinal" => "54" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Utility of SPECT-CT in the identification of fistulas in a peritoneal scintigraphy" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2360 "Ancho" => 2000 "Tamanyo" => 182191 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imágenes planares de la peritoneogammagrafía con 99mTC-MAA. A) Proyección anterior del abdomen con la paciente en decúbito supino, en la que se evidencia la distribución abdominal del radiotrazador y comienza a insinuarse un acúmulo del mismo en fosa iliaca derecha. B) Proyección anterior del abdomen en decúbito prono tras el drenaje peritoneal, en la que se aprecian dos focos de actividad en fosa iliaca derecha (flechas continua y discontinua). C) Proyección lateral derecha en la que se visualiza un foco intenso de actividad en región inferior de fosa iliaca derecha que se proyecta ventralmente y parece superar el límite de la pared abdominal (flecha continua). Por encima de este se aprecia otro foco en el borde de la pared anterior (flecha discontinua), que no parece superarla. Por delante de la pared (flecha punteada) se visualiza la actividad residual en el catéter abdominal. D) Proyección anterior de tórax en la que se muestra la ausencia de actividad mediastínica o pleuro-pulmonar, por lo que se descarta una fuga supradiafragmática.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Ramos Font, J. López Martín, E. Sánchez de Mora, C. Salgado-García, F. Fernández Girón, A. Jiménez Hefferman" "autores" => array:6 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Ramos Font" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "López Martín" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Sánchez de Mora" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Salgado-García" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Fernández Girón" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Jiménez Hefferman" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2253808912001383" "doi" => "10.1016/j.remnie.2012.11.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808912001383?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X12000558?idApp=UINPBA00004N" "url" => "/2253654X/0000003200000001/v1_201305061028/S2253654X12000558/v1_201305061028/es/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "Inferior mesenteric venous thrombosis and <span class="elsevierStyleSup">18</span>F-FDG PET/CT" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "55" "paginaFinal" => "56" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "V. Peiró, J.C. Alonso Farto, J. García Poza, J.M. Alfonso" "autores" => array:4 [ 0 => array:4 [ "nombre" => "V." "apellidos" => "Peiró" "email" => array:1 [ 0 => "vpeiro@petmadrid.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.C." "apellidos" => "Alonso Farto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "García Poza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "J.M." "apellidos" => "Alfonso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Nuclear, Instituto Tecnológico de Servicios Sanitarios (I.T.S.S.)-MD Anderson Cancer Center Madrid, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Radiología, Instituto Tecnológico de Servicios Sanitarios (I.T.S.S.)-MD Anderson Cancer Center Madrid, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Trombosis venosa mesentérica inferior y <span class="elsevierStyleSup">18</span>F-FDG PET/TC" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1170 "Ancho" => 1800 "Tamanyo" => 226704 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">From left to right, coronal images of CT, PET, fused PET/CT and maximum intensity projection, showing increased uptake of FDG following a linear path that coincides in the inferior mesenteric vein, compatible with massive thrombosis. Linear hypermetabolic foci are observed perpendicular to the main path of the vein at its caudal half, coinciding with compromised venous tributaries branches in the area. The maximum intensity projection shows a hypermetabolic focus in segment VIII hepatic dome, which is not apparent on CT lesion, which was interpreted as metastasis.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 89-year-old male, with rectal adenocarcinoma, stage IIA, treated with transanal resection, end anastomosis and radiotherapy is reported. At the last follow-up, he shows significant elevation of CEA serum levels, changes in bowel and an extraparietal rectal nodule. <span class="elsevierStyleSup">18</span>F-FDG PET/CT scan showed a tumor local recurrence, pelvic lymph node involvement, peritoneal metastatic implants and liver metastasis. The inferior mesenteric vein and its branches, up to splenoportal axis, have close contact with the local recurrence, showing intraluminal hypermetabolic content in its entire length, compatible with thrombosis by tumor invasion. Histopathologic analysis of rectal mass discovered sigma cancer (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Mesenteric vein thrombosis (MVT) causes between 5 and 15% of cases mesenteric ischemia and mainly affects the superior mesenteric vein. Currently it is considered that most of patients (60%) with MVT have a secondary etiology; a previous abdominal surgery and hypercoagulable states have been identified as the conditions most commonly associated.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In this context, pathophysiological mechanism is the direct extension of the rectal tumor cells through the upper rectal hemorrhoidal veins to splenoportal mesenteric axis. The PET/CT diagnostic criteria for a venous thrombosis tumor include focal or linear uptake along the affected vessel.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> The main treatment is anticoagulation therapy and, when there are signs of intestinal ischemia, surgery associated with early anticoagulation. The mortality reported in the literature is 20–50%.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2011-12-23" "fechaAceptado" => "2012-02-11" "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1170 "Ancho" => 1800 "Tamanyo" => 226704 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">From left to right, coronal images of CT, PET, fused PET/CT and maximum intensity projection, showing increased uptake of FDG following a linear path that coincides in the inferior mesenteric vein, compatible with massive thrombosis. Linear hypermetabolic foci are observed perpendicular to the main path of the vein at its caudal half, coinciding with compromised venous tributaries branches in the area. The maximum intensity projection shows a hypermetabolic focus in segment VIII hepatic dome, which is not apparent on CT lesion, which was interpreted as metastasis.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1769 "Ancho" => 1800 "Tamanyo" => 301919 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Axial images of fused PET/CT showed liver metastasis in segment VIII (A). Concentric and hypermetabolic wall thickening of the rectosigmoid junction, associated extraluminal mass adjacent to the rectal wall, with hypodense and without metabolism center, support of necrotic tumor recurrence (B). Hipermetabolic foci in thrombotic involvement in the cranial region of the vein, that fails to affect splenoportal axis, which determines in part the diagnosis (C). They also appreciate hypermetabolic lymph nodes in parasigmoid and mesorectal region, suggestive of locoregional lymph nodes involvement (D).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inferior mesenteric vein thrombosis after proctocolectomy with ileal pouch-anal anastomosis (IPAA) and jejunal pouch in a patient with ulcerative colitis: a case report and review of literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.M. Battula" 1 => "C.M. Fleisher" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Internet J Intern Med" "fecha" => "2006" "volumen" => "1" "paginaInicial" => "1528" "paginaFinal" => "8382" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "18F-FDG-PET/CT for the diagnosis of tumor thrombosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T. Davidson" 1 => "O. Goitein" 2 => "A. Avigdor" 3 => "S. Tzila Zwas" 4 => "E. Goshen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "IMAJ" "fecha" => "2009" "volumen" => "12" "paginaInicial" => "69" "paginaFinal" => "73" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20550027" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trombosis venosa mesentérica: manifestaciones clínicas, terapia y evolución" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. Lui" 1 => "T. Poniachik" 2 => "P. Rodrigo Quera" 3 => "E. Bermúdez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "/S0034-98872005000100003" "Revista" => array:6 [ "tituloSerie" => "Rev Med Chile" "fecha" => "2005" "volumen" => "133" "paginaInicial" => "17" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15768146" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/2253654X/0000003200000001/v1_201305061028/S2253654X12000625/v1_201305061028/en/main.assets" "Apartado" => array:4 [ "identificador" => "7907" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes de interés" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/2253654X/0000003200000001/v1_201305061028/S2253654X12000625/v1_201305061028/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X12000625?idApp=UINPBA00004N" ]
